title: At the coalface--medical ethics in practice. First, do no harm.
abstract: When a physician acts as both doctor and researcher conflicts can develop. When a doctor does not know whether a patient is taking active drug or placebo, any new medical problems can result in a dilemma. Is the patient's suffering a side effect of the medication or is this a new medical problem? Mrs W's case demonstrates the problem that can occur when the physician is blinded in the name of research.
authors.affiliation: Albany Medical College, New York, USA.
authors.forename: S
authors.initials: S
authors.lastname: Groudine
authors.forename: P D
authors.initials: PD
authors.lastname: Lumb
mesh_terms: D000368:Aged; D002985:Clinical Protocols; D002986:Clinical Trials as Topic; D004311:Double-Blind Method; D004992:Ethics, Medical; D005260:Female; D006801:Humans; D010919:Placebos; D035842:Research Subjects; D036302:Therapeutic Human Experimentation; D028761:Withholding Treatment
chemical_list: D010919:Placebos